Individual
DESIRE M ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8500
(269) 985-4535
Mailing address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 983-8500
(269) 985-4535
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301103974
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093033029
—
MI
Enumeration date
05/14/2010
Last updated
03/03/2016
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